Provider Demographics
NPI:1447453378
Name:RHEA EYE CENTER
Entity type:Organization
Organization Name:RHEA EYE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:FRENCH
Authorized Official - Last Name:CASTEEL
Authorized Official - Suffix:III
Authorized Official - Credentials:OD
Authorized Official - Phone:423-775-0922
Mailing Address - Street 1:270 3RD AVE
Mailing Address - Street 2:P.O. BOX 47
Mailing Address - City:DAYTON
Mailing Address - State:TN
Mailing Address - Zip Code:37321-1255
Mailing Address - Country:US
Mailing Address - Phone:423-775-0922
Mailing Address - Fax:423-775-0923
Practice Address - Street 1:270 3RD AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TN
Practice Address - Zip Code:37321-1255
Practice Address - Country:US
Practice Address - Phone:423-775-0922
Practice Address - Fax:423-775-0923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNTN0697OtherTENNESSE STATE LICENSE
TNTN0697OtherTENNESSE STATE LICENSE
TN3594553Medicare ID - Type Unspecified